Articles tagged with Home Care
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The 2004 California Long-Term Care Reimbursement Act increased MediCal costs by nearly 9% but failed to improve quality or access to care. Nursing home staffing levels remained lower than recommended numbers, and staff turnover increased significantly.
A systematic review found that complex interventions, such as preventive home visits and community-based care, improved physical function and reduced the need for nursing home care in elderly people. The meta-analysis also showed a reduction in hospital admissions and falls, with benefits evident in studies started before 1993.
A new Commonwealth Fund report analyzes 15 federal policy options to achieve significant short- and long-term savings and greater value in the US health care system. Combining universal coverage with policies aimed at reducing spending could result in substantial savings, including $88 billion from promoting health information technolo...
A home-based geriatric care program for low-income seniors resulted in higher-quality medical care, improvement in quality of life, and fewer emergency department visits. However, the intervention did not prevent decline in physical functioning. The program improved health outcomes without increasing hospital admissions.
The American College of Physicians proposes a pluralistic system with government and private organizations ensuring universal access, or a single-payer system with lower administrative costs. The organization also recommends improving patient care coordination, disease prevention, and reducing healthcare administration costs.
Patients report feeling uncertain about out-of-hours primary care services, with concerns over appropriateness and responsiveness. Staffing issues and slow handling times are also cited as key problems, highlighting the need for better patient experience monitoring.
Patients using out-of-hours services report feeling uncertain about the appropriateness of their calls and concerns about slow case handling. Despite this, many are happy with the quality of service once they speak to a healthcare professional.
The Brown University team will collect data on nursing homes across the US to analyze state policies and their impact on long-term care. The goal is to develop sound state policies based on real data to ensure elderly Americans receive high-quality, cost-effective care.
A study found that correcting refractive error in nursing home residents with eyeglasses improves their quality of life and reduces depressive symptoms. The study showed a significant improvement in visual acuity and quality-of-life scores after two months.
A Commonwealth Fund survey finds US adults are most likely to report medical errors, go without care due to costs, and support rebuilding the healthcare system. The US ranks last in saying only minor changes are needed, with high out-of-pocket costs and great problems paying medical bills.
A global survey found that fewer people in less developed countries with mental disorders sought services compared to those in high-income countries. The U.S. population used services the most at 18%, while Nigeria had the lowest rate at 1.6%.
The UK Human Rights Act's implementation has been criticized for providing little more than lip service to the human rights of elderly people in care. Despite acknowledging good care, a parliamentary report highlights a lack of understanding among service providers and policymakers about the act's principles.
A study found that individuals living in nursing homes and taking medication to lower blood pressure are more likely to die from heatstroke. Being confined to bed and unable to care for oneself also increase the risk of death. Conversely, visiting cool environments and increasing social contact can lead to better outcomes.
Several health reform bills before Congress could lead to significant improvements in health care quality and efficiency. These bills focus on changing payment systems, which hold the greatest promise for health care savings and quality improvement. However, they do not address an overarching strategy or gaps in implementation.
A study published in Archives of Surgery found that diabetics spend more days in the intensive care unit and have more complications during hospitalization for trauma. Diabetics are also less likely to be discharged home and require skilled nursing care after discharge.
A study of Alabama nursing home residents found that over half were visually impaired but had no record of recent eye examinations. The high rates of visual impairment among nursing home residents may be attributed to various factors, including limited accessibility and a shortage of eye care professionals.
A new report from The Commonwealth Fund shows that providing minority patients with a 'medical home' can help eliminate racial and ethnic health care disparities. When insured adults have access to regular care and coordination, they are more likely to manage chronic conditions, receive preventive care, and have better health outcomes.
A study found that the percentage of deaths from complex chronic conditions occurring at home increased significantly between 1989 and 2003, especially for infants and adolescents. This shift may be attributed to advances in home-based medical technology and changes in attitudes towards pediatric palliative care and hospice services.
A recent study found that children with serious complex illnesses are more likely to die at home than in hospitals, especially among African American and Hispanic patients. The shift towards home care raises questions about how to provide optimal care and resources for very sick children.
A new study finds that people with Alzheimer's disease experience accelerated cognitive decline after being placed in a nursing home. However, those with prior adult day care experience fare better during the transition. The research suggests that experience in day care programs may help prepare individuals for institutional living.
A study found that high-quality early childhood care reduced depressive symptoms in young adults from low-income families. The intervention also moderated the negative effects of their home environments on mental health, highlighting the importance of investing in high-quality early childhood experiences for poor children.
Researchers found that doubling state spending on these services reduces the risk of nursing home admission among childless seniors by 35 percent. States' varying levels of commitment to providing these services have been linked to different outcomes for seniors with and without family support.
A new study from the University of Alberta reveals that community-dwelling spouses of elderly individuals in long-term care facilities are heavily involved in their partners' lives. Despite common assumptions, marriage-sustaining activities continue, such as shared hobbies and regular visits.
A survey found that more than two-thirds of informal caregivers for disabled older adults at the end of life reported feeling rewarded, despite providing over 40 hours of care per week. These caregivers often experienced emotional, physical, and financial strains but also derived benefits from the person they were caring for.
A recent study by Thomas Jefferson University researchers shows that providing extra support to caregivers can lead to less depression and increased use of adult day services. This approach also reduces the need for nursing home placements.
A tailored intervention addressing five areas of caregiving challenges improved quality of life and reduced clinical depression among caregivers. Hispanic and white participants saw the greatest benefits, while African-American spouse-caregivers also showed improvement in specific areas.
A study found that enhanced caregiver support and counseling delayed nursing home placement by 1.5 years, improving caregivers' tolerance for patient behavior and increasing satisfaction with social support. This intervention could potentially save $90,000 per patient in nursing home care costs.
Researchers found that obstructive lung disease patients received only about half of the recommended medical care, with significant variations between asthma and COPD patients. The study estimates that improving care could save lives, such as by increasing oxygen treatment for COPD patients and steroid treatment for asthmatic patients.
The Hospital Clínic's at-home bone marrow transplant program has shown promising results in reducing febrile episodes and hospital readmissions. By treating patients in their homes, the program improves quality of life and reduces hospitalization expenses by half. The program is now a routine service for one out of three cancer patients.
A national study led by Queen's University Professor Daren Heyland found that only one-third of patients have discussed cardiopulmonary resuscitation (CPR) with their physicians. Elderly patients are often ill-equipped to participate in such discussions and make decisions.
Researchers at Johns Hopkins Medicine found that seniors who give up driving are less likely to enter nursing homes or assisted living centers than those who have never driven. The study included extensive interviews with 1,593 seniors between 65 and 84 years old.
A study by Hospital Clínic de Barcelona and Leuven University Hospital found that coordinated primary and hospital care can significantly reduce readmissions for patients with chronic obstructive pulmonary disease (COPD). The integrated approach includes home care services, which resulted in a 50% lower rate of readmissions compared to...
A study found that annual rates of hip fracture among Swiss female nursing home residents decreased by 1.3% per year during the 1990s. This decrease was linked to improved prescription of calcium and vitamin D, as well as enhanced preventative care regarding risk factors for falls.
A collaborative care approach involving primary care physicians and advanced practice nurses significantly reduced behavioral symptoms in Alzheimer's disease patients. This resulted in lower caregiver stress and depressive symptoms without the use of anti-psychotics or sedative medications.
A study found that new mothers experience six common postpartum symptoms, including fatigue, breast discomfort, and decreased desire for sex. Women who had cesarean sections reported significantly worse physical health than those who gave birth vaginally. Breastfeeding was also linked to more symptoms.
A Canadian study published in the Canadian Medical Association Journal found that patients and family members prioritized having confidence and trust in their doctors' care over dying at home. The results suggest that current efforts to support more patients dying at home may be misguided.
Home health care nurses using motivational enhancement counseling techniques significantly improved smoking cessation rates compared to standard care. Patients in the motivational enhancement group were more likely to quit and had lower cigarette consumption, highlighting the potential of this approach to promote public health.
A study of focus groups with 73 participants found diverse views on healthcare, spirituality, family, and dying among different racial and ethnic groups. Cultural values and Western medical system's limitations influence these differences.
A new study by the University at Buffalo, Yale University, and Oregon Health and Science University found that hospital-level care can be provided at home for less money and with fewer clinical complications. The program, called Hospital at Home, resulted in fewer important clinical complications, greater satisfaction, and lower total ...
A study found that 60% of healthcare providers, parents, and childcare workers knew the national guidelines for common childhood ailments only 60% of the time. Temporary exclusions are designed to prevent disease spread, but inconsistent application can lead to contentious issues between parents and caregivers.
The capacity for assisted living and in-home care nearly doubled between 1990 and 2002, while nursing home beds declined by 7.4% during the same period. The growth of these alternative care options is attributed to shifting long-term care policies and increasing demand for community-based services.
Recent study examines ELBW infants born in 1992-1995, revealing 64% with chronic conditions, including cerebral palsy, asthma, and low IQ. These children require specialized medical and educational services to manage their needs, highlighting the importance of proactive planning.
Researchers found a significant decrease in nursing injuries with increased staffing levels, particularly in for-profit homes. The study's findings have implications for Canadian healthcare, highlighting the need for policy changes to prioritize quality care over profits.
A study found that disease reinfection rates for TB were four times higher than new cases in South Africa. Additionally, researchers discovered that low-dose spiral computer-based tomography (CT) screening can lead to an early diagnosis of lung cancer in a high proportion of cases.
A study published in Home Healthcare Nurse found that home care nurses value professional autonomy, collaborative relationships with physicians, and access to resources to provide quality care. Implementing these traits can help reduce nurse turnover and improve patient outcomes in home health care agencies.
A two-year study found that home-care patients are at a high rate of pneumonia, complications, including mortality rates 11% higher than other patients. Frailty and decreased immunity are major contributing factors.
Researchers from U of T examined approximately 40 nursing home comparisons between 1990 and 2002, revealing that not-for-profit homes generally offer better patient care than their for-profit counterparts in the US. In contrast, the Canadian study found limited data on nursing home quality, highlighting the need for further investigation.
A recent survey of home care nurses in the US and New Zealand found that organizational traits such as professional autonomy, collaborative relationships, and access to resources were highly valued. These traits were also associated with positive nurse retention and patient outcomes, suggesting their importance in home care nursing.
A recent study found that hospitals are more willing to partner with quality improvement organizations (QIOs), with over 90% reporting QIO interventions had a positive impact. QIOs provide educational materials, benchmark data, and hospital performance data, leading to improved quality of care.
Three-quarters of neonatal deaths occur in the first week of life, with infections being the major cause. Low-cost and low-tech interventions can save nearly three-quarters of these deaths, including vaccinations and clean delivery practices.
A study combining data from 11 trials found that early supported discharge services reduced deaths, dependency, and hospital stays by 8 days. The service, which provides rehabilitation and support in a community setting, is especially beneficial for patients with mild to moderate disability.
A new assessment tool provides comprehensive data on home care quality, identifying areas for improvement. The 22 measures cover processes and outcomes, revealing that no single provider excels in all aspects.
Experts recommend improving government reimbursement rates, increasing staffing levels, and providing better training for nursing home staff. Family members share stories of inadequate care, including unneeded tests and treatments, but also praise compassionate gestures from attentive aides.
A study of 754 older adults found that illnesses and injuries leading to hospitalization accounted for 50-80% of disability outcomes. Participants who developed disability were more likely to have been hospitalized or experienced restricted activity.
A recent VA study found that rural veterans have lower physical and mental health scores compared to urban veterans. The disparity persists even after adjusting for socioeconomic factors, suggesting access to care may be a key factor. The study's findings support the need for expanded healthcare delivery systems in rural areas.
A recent OHSU study found that Parkinson's caregivers experience dramatic declines in physical and mental health over 10 years, with increased strain and depression. The study identified predictors of caregiver risk, highlighting the importance of supporting family caregivers to improve patient outcomes.
Researchers developed a medical home improvement tool kit to help practices adopt the community-based model, which coordinates care through clinicians, educators, and caregivers. The program improved access to care, patient satisfaction, and health outcomes for children with complex conditions.
A study of 819 early adolescents found that unsupervised out-of-home care and lack of parental monitoring predict increased problem behaviors. In contrast, consistent adult supervision and community engagement appear protective against these issues.
A study led by Professor Mary Naylor demonstrates a model of care that has important implications for the nation's healthcare system. Advanced practice nurses coordinated care provided by various healthcare team members to reduce hospital readmissions and improve patient outcomes.
Researchers at UNC Chapel Hill are working on a new program to improve employment in long-term care facilities, focusing on recruitment and retention strategies, including better pay, recognition, and training. The project aims to address staffing shortages and improve the quality of life for nursing home residents.